激素依赖性乳腺癌患者在新辅助内分泌治疗期间的焦虑和抑郁

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引用次数: 0

摘要

第聂伯罗彼得罗夫斯克医学院肿瘤科的工作人员近三十年来一直在研究癌症患者的生活质量问题、病前心理状态对肿瘤疾病病程的影响以及癌症在患者心理变化中的作用[1-3]。作者表明,无论肿瘤的位置如何,大多数患者都有社会适应障碍,其中近一半(48%)有心理内取向的适应不良,超过三分之一(37.5%)有超心理取向的适应不良,只有14.2%没有明显的社会适应不良。在适应不良的结构中,焦虑和抑郁应该起主导作用。尽管时间的流逝,医疗体系的差异,医学的成就及其现代能力,心理问题仍然存在于今天[5-7]。焦虑和抑郁可能不是导致患者生活质量恶化的最重要因素,尤其是乳腺癌患者[8,9]。焦虑和抑郁的病因都是多因素的,但患者接受的治疗对其严重程度有显著影响[10-12]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anxiety and Depression in Patients with Hormone-Dependent Breast Cancer during Neoadjuvant Endocrinotherapy
The problem of the quality of life of cancer patients, the study of the influence of premorbid psychological states on the course of tumor diseases and the role of cancer in changes in the psychology of patients, the staff of the Department of Oncology, Dnepropetrovsk Medical Academy has been dealing with for almost thirty years [1-3]. The authors showed that most patients, regardless of the location of the tumor, have impaired social adaptation, and almost half of them (48%) have an intra-psychic orientation of maladaptation, more than a third (37.5%) are extra-psychic, and only 14.2% do not pronounced social maladaptation. In the structure of maladaptation, anxiety and depression should play a leading role [4]. Despite the passage of time, the difference in healthcare systems, the achievements of medicine and its modern capabilities, psychological problems remain relevant today [5-7]. Anxiety and depression are perhaps not the most important factors that lead to a deterioration in the quality of life of patients, especially those with breast cancer [8, 9]. Both anxiety and depression have multifactorial causes, but the treatment that the patient receives has a significant effect on their severity [10-12].
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